The effect of aging on the fracture resistance of different types of screw-cement-retained implant-supported zirconia-based restorations

PLoS One. 2022 Jun 24;17(6):e0270527. doi: 10.1371/journal.pone.0270527. eCollection 2022.

Abstract

Structural durability of screw-cement-retained implant-supported zirconia-based restorations is an important factor in choosing the best type of restoration for clinical use. This study aimed to evaluate the effects of thermocycling on the fracture resistance of different types of screw-cement-retained implant-supported zirconia-based restoration. Two experimental groups (monolithic zirconia and porcelain-veneered zirconia) and a control group of porcelain-fused-to-metal restorations were fabricated via CAD-CAM (n = 14 per group). Half of the specimens of each group (n = 7) were subjected to 10000 thermal cycles. The compressive force was applied and the force leading to fracture was measured by using a Universal Testing Machine. The fractured modes were classified under a scanning electron microscope. The data were analyzed through two-way ANOVA, one-way ANOVA, and independent samples t-test (α = 0.05). Among the non-thermocycled subgroups, the monolithic zirconia specimens were significantly more fracture-resistant than the porcelain-veneered zirconia and porcelain-fused-to-metal groups (P<0.05); but it was not the same with aging (P>0.05). Thermocycling decreased the fracture resistance of all groups; however, the difference was not statistically significant (P<0.05). The monolithic zirconia presented higher fracture resistance than the bilayered restorations for screw-cement retained implant-supported restorations. Thermocycling decreased the fracture resistance of all types of restorations insignificantly which can be clinically important.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bone Cements
  • Bone Screws
  • Computer-Aided Design
  • Dental Porcelain*
  • Dental Restoration Failure
  • Dental Stress Analysis
  • Glass Ionomer Cements
  • Materials Testing
  • Zirconium* / chemistry

Substances

  • Bone Cements
  • Glass Ionomer Cements
  • Dental Porcelain
  • Zirconium
  • zirconium oxide

Grants and funding

This study was financially supported by the Vice-Chancellery of Research of Shiraz University of Medical Sciences (grant number: 22710 awarded to RG). The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.